Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.20 / $4,790.00 / $12,669.00	Facility		$799.20	$4,790.00	$12,669.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.19 / $886.08 / $1,193.70	Professional		$752.19	$886.08	$1,193.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $472.66 / $472.66 / $472.66	Professional		$472.66	$472.66	$472.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.16 / $1,048.16 / $1,048.16	Professional		$1,048.16	$1,048.16	$1,048.16
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,624.00 / $21,162.00 / $32,051.00	Facility		$9,624.00	$21,162.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $412.28 / $857.45 / $1,077.77	Professional		$412.28	$857.45	$1,077.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $666.03 / $1,175.57	Professional		$72.48	$666.03	$1,175.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,462.00 / $12,923.00 / $18,694.00	Facility		$4,462.00	$12,923.00	$18,694.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.88 / $955.97 / $1,735.52	Professional		$682.88	$955.97	$1,735.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $699.59 / $699.59 / $863.50	Professional		$699.59	$699.59	$863.50